Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.53 / $1,249.02 / $13,809.00	Facility		$650.53	$1,249.02	$13,809.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,653.36 / $10,802.03 / $20,663.07	Facility		$1,653.36	$10,802.03	$20,663.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $463.24 / $836.55 / $3,225.00	Facility		$463.24	$836.55	$3,225.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $636.24 / $910.53 / $1,000.96	Facility		$636.24	$910.53	$1,000.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.82 / $672.25 / $1,239.50	Facility		$666.82	$672.25	$1,239.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,004.63 / $10,795.86 / $20,663.07	Facility		$7,004.63	$10,795.86	$20,663.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00